A stroke occurs due to disrupted oxygen supply, causing brain cell death or damage. It leads to hemiparesis when the brain hemisphere responsible for movement and strength gets damaged from a stroke. In most cases, the hemiparesis affected region depends on which brain hemisphere suffers damage. Ipsilateral hemiparesis occurs when the muscle weakness side is the same as the injury side. Contralateral weakness or hemiparesis is on the opposite side of brain injury. Hemiparesis can also arise due to head injuries, brain cancer, multiple sclerosis, and cerebral palsy. In addition, a sudden impact to one side of the spinal cord triggers hemiparesis. Other causes of hemiparesis are as follows:
Traumatic brain injury.
Hemiparesis makes it tough to engage in daily activities. Extreme weakness, inability to grasp objects, poor coordination, muscle fatigue and balance loss are common symptoms exhibited by all types of hemiparesis. The weakness from hemiparesis may induce short-term or chronic effects. People with hemiparesis show difficulty in understanding numbers, time, and money. It also stimulates intense emotional outbursts with impulsive behavior. Other symptoms include:
Impaired bowel control.
Treatment for hemiparesis
Rehabilitation helps to restore the strength and movement of the affected side. Modified constraint-induced therapy (mCIT) forces an affected patient to utilize the weakened body part. Regular practice of mCIT improves nerve function. Electrical stimulation is another treatment method in which electrical pads get placed on the weekend muscles. The electrical charge induced from the pads stimulates muscle contraction and gradually resolves the weakness from hemiparesis. Cortical stimulation utilizes electrodes, unlike electrical stimulation treatment. It sends electric current to the tough brain membrane called dura during rehabilitation exercises. It helps to reactivate the damaged brain cells from hemiparesis and improve the condition.
Assistive devices such as wheelchairs, walkers, cane, and braces help mobility and provide additional support. The therapist recommends the appropriate aid as per the condition. For example, an ankle-foot orthosis brace is for people with hemiparesis effects on the ankle and foot. Regular exercise and repeated rehabilitation re-establish the nerve circuitry and improve muscle flexibility. Mental imagery involves the use of imagination power, where a person visualizes using the weakened body portion. The visualization nerves overlap with ones in physical movement and stimulate brain signals to the weak side. Full recovery from hemiparesis may take a prolonged period. However, consistent rehabilitation practices accelerate the recovery speed.
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